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WILDWOOD COTTAGE

Mental Retardation and Developmental Disabilities

Raytown, Missouri

Provider NPI: 1770757841

Organization Information:
Organization Name:  WILDWOOD COTTAGE
Organization is Subpart
Authorized Official:  VIRGINIA MAE MORGAN  ADMINISTRATOR-OWNER  816-3535274

Practice Location:
11212 E 71ST ST  RAYTOWN, MO 64133 US
Tel: 816-353-5274  Fax: 816-353-1226

Business Mailing Address:
11212 E 71ST ST  RAYTOWN, MO 64133 US
Tel: 816-353-5274  Fax: 816-353-1226

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TM1800XBehavioral Health & Social Service Providers
Psychologist
Mental Retardation & Developmental Disabilities
MO









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